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Rhinoplasty Surgery
Scenario of Your Operation
Before
and After Photos
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Rhinoplasty Surgery
A good nose, is a nose that draws no attention to it's
self...whether it's been operated on or not. A good
nose, after rhinoplasty looks like it's never been touched.
That is my
guiding theme!!!
Dr. Cattani has
lectured all over the globe and is world-renowned in
rhinoplastic surgery. He has performed thousands upon
thousands of operations as well as an untold number
of revisional surgeries as well. Incidentally, should
there be any confusion . . . revisional surgery is the
performance of a nasal operation on those who have had
previous rhinoplastic surgery.
The theme of
rhinoplasty is a very simple one, namely to improve
your appearance. The intent is not to produce drastic
changes in your nose, which are very obvious, nor to
radically change the way you look.
I will commence
your consultation in front of a mirror where I will
ascertain and identify the features you most dislike
about your nose. We will then discuss how to correct
those things that are bothersome to you, how to coordinate
these changes to blend with your facial features and
thereby create a nose, which will be as natural as possible.
I wish to emphasize
the theme of naturalness. You may ask yourself,
what is a natural nose? A nature nose is one that draws
no attention to it’s self. Think about this for
a moment. If you are able to remember a person’s
nose it is usually an unpleasant feature you would recall,
such as a nose which is too long, too wide, possibly
drooped or too turned up. On the other hand, the features
of a pleasant, natural but not necessarily perfect nose
are not easily subject to recall.
Let me once again
emphasize that the theme of this surgery is not to produce
radical changes of appearance, but to simply make you
look better. Understandably, many patients fear a radical
change of appearance. This will not happen. At the completion
of surgery when the bandages are removed, you will be
amazed at the number of friends and colleagues who will
comment that “you look well” without realizing
that “you’ve had your nose done”.
Remember –
I strive for “a better you” – not
a different you!
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Scenario
of Your Operation
Now, I would like to portray the scenario generally
involved for the patient about to undergo this procedure,
remembering that there are variations in every case.
First of all, for years this procedure was performed
in a hospital, but no longer! Now it is performed exclusively
in my office surgical center.
I am fully aware
that it is difficult to prepare for your elective surgery.
This certainly can provoke anxiety or nervousness, which
is entirely understandable and normal. However, when
the situation is compounded by the patients having heard
horror stories such as hammer, saws, blood, guts and
chisels, it can be even more difficult! So, let’s
talk about that.
Keep in mind
that the operation is painless! The duration of surgery
approximates one hour but under anesthesia that we mutually
decide upon, it will seem to be only a few minutes.
At the conclusion of surgery you will have a bandage
which if you have not already seen, I will show you
during your next visit. The bandage for the first day
will include a strip of tape at the bottom of the nose,
thereby making it difficult to breathe through the nose.
This is uncomfortable. However, please know that although
there is some discomfort, it is short-lived and will
only last a day or so.
With regard to
swelling and black and blues: Will you have those? The
answer is yes. Yet it is almost impossible to predict
how much, as it varies in each case and is independent
of the extent or type ofsurgery that is performed. May
I add that this even applied to identical twins. Several
years ago, I performed this operation on identical twin
sisters. One swelled moderately while the other very
little. However, within seven to ten days most of the
swelling will be gone. What remains thereafter will
gradually subside with the passage of time and is usually
noticeable only to the patient and myself.
Two to three
days after surgery, the bandage will be changed, this
does not hurt. Concurrently, the nose will be cleansed.
Approximately on the fifth day, all tape and bandages
will be removed and nose will be re-cleansed. I would
ask you to see me weekly subsequent to removal of all
bandages for a short period of time, as I may follow
and access the healing process.
Obviously there
is a commitment of time to be made on your part. If
you are actively employed, expect to be removed from
work for seven days, but surely after that time you
will be able to return to regular and full employment.
Again, there is tremendous variation here in that some
patients can return in as little as four days while
others may take ten days. However, there is no way to
foreshorten the healing process. Bear in mind that although
you will not be able to attend work, I do not wish to
indicate incapacitation. You will be perfectly mobile
after the first day and if you choose, your can work
fully at home.
I would like
to touch upon the activity schedule following surgery.
After fourteen days, you may begin or resume exercise,
but no heavy lifting. After three weeks, you may endure
vigorous exercise and Nautilus training. Yes, you can
go to the beach, and yes, you can be in the sun, but
only with a sun block on your nose and not for eight
hours. After a four-week period, there is no restriction
and the patient then can resume all forms of activity
including contact sports.
I think that
a good deal of importance should be placed on the degree
of difficulty that will be discussed with regard to
the performance of the surgery on your nose. Although
no intra-nasal operation is “easy”, the
surgical candidate should know that his or her operation
is one of an unusual nature and that the problems he/she
presents are those, which are usually encountered in
performing surgery of this type.
A question that
is often asked during the initial consultation is, “Doctor,
who performs the operation?” If that hasn’t
been addressed then I will answer it now. Once again,
I perform all of the surgery and no one else does any
of the surgery! There are no assistant surgeons, nor
are there residents, interns, fellows orthe like who
will operate on you. I hope this point has been thoroughly
answered and is clear in your mind.
Lastly, keep
in mind that this procedure requires motivation on your
part. I can only provide information which I truly believe
will assist you.
In that
light, I wish you to know that, I, as well as my staff
are here to help, guide and assist you in every way.
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